Title
Preeclampsia and fetal heart defect: Is there an association? Review of evidence
Other title
Preeclampsia y defecto cardiaco fetal: ¿Existe una asociación? Revisión de la evidencia
Date Issued
01 January 2016
Access level
open access
Resource Type
journal article
Author(s)
Tavara-Valladolid L.
Fiestas-Plucker G.
Chaman-Castillo J.
Publisher(s)
Sociedad Chilena de Obstetricia y Ginecologia
Abstract
Introduction: Preeclampsia (PE) is a complex multisystem disorder caused by an abnormal placental angiogenesis. Congenital heart disease (CHD) is one of the most common structural defects in newborn infants. Recently, several studies have identified an imbalance in the levels of proangiogenic and antiangiogenic factors in umbilical blood of newborn infants with CHD similar to those found in the blood of women with PE, suggesting a possible association. Objective: To review the available scientific evidence about the relationship between the PE and the development of CHD in newborn infants. Method: A search was conducted in Scopus and Medline/PubMed databases using the terms "pre-eclampsia" and "congenital heart defects". Four articles that linked PE and CHD were selected and reviewed in full text. Only analytical observational studies were found (1 prevalence study, 1 case-control study and 2 cohort studies), published between 2014 and 2016. Results: Early onset PE (<34 weeks) was the most important risk factor for the development of CHD in newborn infants. The severity of a heart defect is associated with the intensity and the onset time of imbalances in the angiogenic factors. Conclusion: We found relevant evidence on the possible association between PE and CHD. Hypertensive condition and endothelial changes conditioned by this seem to be linked to increased risk for the development of CHD instead of exposure to antihypertensive drugs.
Start page
426
End page
432
Volume
81
Issue
5
Language
English
OCDE Knowledge area
Pediatría
Obstetricia, Ginecología
Sistema cardiaco, Sistema cardiovascular
Scopus EID
2-s2.0-84997820919
Source
Revista Chilena de Obstetricia y Ginecologia
ISSN of the container
0048766X
Sources of information:
Directorio de Producción Científica
Scopus